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General NPI Number Information
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NPI Number | 1710064480
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Entity Type | Individual
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Provider Name | SONIA RAHEL-AHMADZAI MFT
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Gender | Female
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 02/11/2022
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Provider Practice Location Address
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Address Line | 3101 SUNSET BLVD STE 6C
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City | ROCKLIN
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State | CA
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Zip | 95677-3089
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Country | US
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Telephone | 916-435-1414
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Fax | 530-622-2793
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Provider Business Mailing Address
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Address Line | PO BOX 1561
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City | PLACERVILLE
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State | CA
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Zip | 95667-1561
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Country | US
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Telephone | 916-435-1414
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Fax | 530-622-2793
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFC37247
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License Number State | CA
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